| NPI | 1194213751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CO 3557) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY TUV008844) |
| Enumeration Date | 2018-04-28 |
| Last Update Date | 2023-01-30 |